HomeMy WebLinkAboutPIP 95-11; PEDI; Engineering ApplicationI
CITY OF5 ARLSBAD - ENGINEERING' PARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING -.-
Complete all appropriate 1n104'rnatlon. Write N/A v.l,en not applicable. -
PROJECT NAME: - D / DATE:______________
PROJECT DESCRIPTION: _tI O4
t-(JM,7< QAJf
PROJECT ADDRESS: t%/
LOT NO(S) Z7 MAP NO /032Z- APN(S)
OWNER: Wir7 0r*b-APPLICANT:
Mailing Address: ?75 t(2 Mailing Address: _ 1&;:i'( _,/J:7_-
'4'0J LP-t3-i
Phone Number: ('9_17" 7t&i Phone Number (/ _757_7V7
I ceitify that lam the legal ow and that all the abqve information I certify that lam the agent of the legal owner and that all information 'PeiIs true and corr to the nowledge this sheet Is true and correct to the best of my knowledge
Signae Date Signature -Date____________
N4TLEY SOILS ENGINEER:27 7c -
;
CIPIC~INEER:RfC//ADW.
m PEA&.. /S$2C/M T5 Firm L57*/ ,9B-'Jv,42 (J47
Mailing Address '—W/f PENWcyL VAIA' AVE Mailing Address 2t7
EsC7Np/00, C4 Izo ZS __________________
Phone Number: ) 2' 7 77 Phone Number: (,/q
State Registration Number: ggo_____ State Registration Number:
LANDSCAPE ARCHITECT:/4/ (%1° ADDITIONAL COMMENTS: -
Firm:
Mailing Address:
Phone Number: 47 5 '
State Registration Number
NO. OF DWELLING UNITS:O LFMPZONE: NP. OFLOTS:'\/- Y NO. OF ACRES:'.3±-
' IMPROVEMENT VALUATION: sewer, water & recIaimd water: 7. 0,00
streets and drainage: ,&(A- landscape:- ,t../A- water district:C A4 L&JP
GRADING QUANTITIES: 44 CV cut ,t.14 cy fill ,tJ/A cy
remedial i.4- cy import/export __ cy.
PLEASE CHECK OFF APPUCATION TYPES ON REVERSE SIDE -
S - S
P:\00CS\MISF0RMS\FRM00063 REV 12/16/93
I.,
V DATE STA V
APPUCATION RECEIVED
APPLICATION FOR Plancheck T e Dr (CHECK ALL THATAPPLY) * Number Nt
0 Bounda Ad ustment - * Xv
Ad ustment Plat
O Certificate -of Com Iiance'' 1
.:.:...:.x....:.::.:.:
ediatiön of Easement
YP:wkez LiiiE/Th
0EncroachrnentPermrt -•
___________________
O En ineerin Standards Variance ESV
• - _______ aFMa
V
Gradin -V.\
' Imprvemént Plabcheck
VDlands èapePIancheck
... 0 Parcel Map.
O Quitciirn ofEasernent \-•'
Type Z' ,
Type:__________________________
DReversio'nto 'Acreg '
r1 V \ \N' Li StreetVVacat,on
Tentative Parcel Map
OCértificate of Correction f
. DCovnant for Eaenient. ...,. V
V D.SubstantiaIConfórmance Exhibit
P\DOCS\MISFORMS\FRM00063 - REV 12/16/93
CITY OF C LSBAD .- ENGINEERING D ARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appmpdafe infoimation. Writs' NIA when not applicable. ~>~ ~ C(S-- I I
PROJECT NAME: ,"'2I DATE:_____________
PROJECT DESCRIPTION: 42t Z' 1;z."4:2 O7 /142 71 2/
PROJECT ADDRESS:
LOT NO(S).: MAP NO.:/0 617 Z' APN(S).:_______________________
OWNER: IiV) Q 7 . LP APPLICANT: Z.
Mailing Address: 117,5 h". M/Er Mailing Address: 1115 ,5 PEA/W5YLV,4,V/A AVE
9Lk2J / &2NPfPU, 14 qzoz
Phone Number: (l/g 11t2 71 Phone Number (/9) '727'
I certify that I am the legal owner and I the above information I c.rtify that I am tLik agent of the legal own.r and that all information on
Is true and corr to the f ledge. this heet Is the viedge.
tur
=coff
Signature _____
Z _______________
CiViCENGEER: //cJ/AgP W. HAR7ZiY(/ SOILS ENGINEER: IM2
Firm: 4 45C-C/A7 Firm: 571/ 104'U7 Wij
Mailing Address: 111.56- %/'/v1-5YL VAN/A AVE. Mailing Address:
&iPo1
Phone Number ) Phone Number: (á7/
State Registration Number State Registration Number
LANDSCAPE ARCHITECT:/A)/ ADDITIONAL COMMENTS:___________________
Firm: 67?7/O
/ Mailing Address:
Phone Number ::i'i 457 -
State Registration Number /c' 7
NO. OF DWELLING UNITS: 6 ) LFMP ZONE: YVIA NO. QF LOTS: / NO. OF ACRES:_____
IMPROVEMENT VALUATION: sewer, water & reclainied water
streets and drainage:AJ/<4- iandscape: water district:_________
GRADING QUANTITIES: /17, 2 CV cut /O..7r70' cy fill /0, 1L7(-2 cy
remedial 1151, Cy import/export
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\O0CS\MISF0RMS\FRM00063 REV 12/16/93
P:\DOCS\MISFORMS\FRM00063 REV I2/16/93
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;4• PROJECT PLAN REVIEW COMPLETION
. ..
The following project plans have been revieved and are recommended for approval H .0 • - - . - - 44
Project Name PE3I ;1 20' c -7Lf.21
Project No 1a
Drawing No-. 3'5->f3
* .4
Sheets No I through -
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. .' . .. F, _ • _ V
.. .-.
V
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DECLARATION OF RESPONSIBLE CHARGE
- 3 :
I hereby çieclare that I have exercised responsible charge over the plan review of this
project as defined in Section 6703 of the Business and Professions Code to determine
that the plans are found to be in substantial compliance with applicable codes and
standards
-, .4 -
. ,4,- . .
Plan review of these project drawings does not relieve the Engineer of Work of the
) responsibilities for the project design
- - .: •-:
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. • . . .•
Firm Berrvman _&Henigar
Address 11590W. Bernardo Court,' Suite, 100 - 4
San Diego CA 92127
- . - • Telephone: 451-6100
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• • 0.•..
By L/QQ_i0_ Date
P E (Civil) No 1i0i Expiration
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O1ESSi0
(seal)
co
EXP
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Rev.,2/8/96
F\USERS\RALLE\WPDATA\PLANREV B&I-i